Organization Active NPI

Wellcare Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Fort Worth, TX
National Provider Identifier
1821807801
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WELLCARE TRANSPORT LLC
Practice address
5908 Norma Dr
Fort Worth, TX 76114-3211
Phone
(817) 502-2993
NPI assigned
Jan 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nouraldin KhdaishNPI 1023830957
Title
Owner
Phone
(682) 406-0925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

5908 Norma Dr
Fort Worth, TX 76114-3211

Mailing address

5908 Norma Dr
Fort Worth, TX 76114-3211
Phone (817) 502-2993

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1821807801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 NORMA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761143211",
            "telephone_number": "817-502-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 NORMA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761143211",
            "telephone_number": "817-502-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "KHDAISH",
        "authorized_official_first_name": "NOURALDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-406-0925"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.